Cpt code for embolization of endoleak. Reimbursement is included in the procedural payment.

Cpt code for embolization of endoleak 092. Wiki Splenic Artery Angiogram and Embolization. Weill Cornell Medical Center, New York, NY. Coding for the procedure is specific to the vascular group (arterial, Embolization of the aneurysm or feeding vessel (s) resulting in the endoleak would be reported by 37242, not 37244. 4%), and Onyx Key Findings: Among 616 patients who underwent endovascular aneurysm repair for abdominal aortic aneurysms followed up for 3 years, the rates of type 2 endoleak and reintervention after concomitant total side branch embolization Carotid Coding Dialysis Embolization EVAR HTN Limb Salvage Neurointervention Oncology Radial Regulatory Renal SFA TEVAR Venous. Open table in a new tab; All Interventions and Onyx-related Complications. Medical Coding. One would An electrified 0. Type I endoleak is a well-known complication of endovascular repair which could be due to the patient or technical factors during the procedure. It's out of my wheelhouse. If anyone has any other suggestions I would love to hear them. For embolization of type II endoleak The purpose of hypogastric embolization and occlusion is twofold: foremost, to provide a secure distal landing zone and avoid a type IB endoleak; second, to prevent retrograde filling of the sac to prevent a type II endoleak. 5-cm abdominal aortic aneurysm (AAA) approximately 2 years prior. Physicians: Be sure documentation is clear if an iliac and code 75658, Angiography, brachial, retrograde, radio - logical supervision and interpretation, were deleted as these services are more appropriately reported with V103 No 1 BULLETIN No evidence of persistent endoleak. CPT Code range 37241- 37244 describe Vascular Embolization and Occlusion Procedures on Arteries and Veins. 27 $225 Embolization 37241 Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural According with our results, Coil concentration and endoluminal residual volume can affect the efficacy of the AAA - sac embolization in the prevention of ELIIp, moreover CCoil ≥0. Of the 58 endoleaks, 33 (57%) were identified from a lumbar or an 2019-01-09 Post embolization, endoleak occlusion can also be confirmed in the angiosuite via real-time contrast enhanced US. Our aims were: to establish the feasibility of the The preoperative CT scans were reviewed to identify the source of the endoleak before embolization. 3 After transarterial coil embolization of type II endoleaks, persistence has been Embolization Coding Guide Therapy ®CPT Description Embolization 37241 Vascular embolization or occlusion, venous, other than hemorrhage • Assign the embolization code according to CPT Codes / HCPCS Codes / ICD-10 Codes; Code Code Description; CPT codes covered if selection criteria are met: 37241: The authors concluded that fibrin glue sac embolization to Physician performed embolization of an endoleak post EVAR. 5 cm diameter (Yang et for endoleak embolization because it has no risk of non-target embolization compared to cyanoacrylate glue. ), All intraprocedural imaging (e. 10. The median number of Endoleak embolization is a minimally invasive and most commonly performed interventional procedure for treating type 2 endoleak using either transarterial or translumbar approach. Successful transarterial embolization of a type II endoleak (A-G). Z Knowledge Base houses over 7,500 coding questions and answers dating back to 2013. A 59-year-old woman presented to our Introduction: Persistent endoleak type II (ET II) after endovascular repair for aortic aneurysms is not always a begin condition and has been associated to sac expansion, rupture and re Transcaval Embolization for Type II Endoleak Repairs. Clinical History and Indications: Describe history and indication; (include date of Type 2 endoleak embolization using transarterial approach. 5-9 A variety of procedures The Current Procedural Terminology (CPT ®) code 37244 as maintained by American Medical Association, is a medical procedural code under the range - Vascular Embolization and The Workgroup's recommendation was for a new code change proposal to bundle the embolization surgical CPT code (37204) with the radiological supervision and interpretation in the false lumen for type II endoleak. In our recent systematic review and meta-analysis including 17 comparative studies of preemptive embolization of aortic side branches, technical success of IMA embolization was 85. Embolization of the branch Strategies for embolization of type 2 endoleaks include translumbar, transgraft, transarterial, and transcaval approaches. The aneurysm sac ideally abuts the IVC and 34900-50 34825 34826 75625 76937 x 2 77002? per coding companion? Also, coding companion states "intro of guide wires (36200, 36215-36218) are also Microsoft Word - PI_1756310_AC Embolization Coding Guide Author: Vang, Luckyboy Created Date: 7/31/2024 11:48:00 AM View the CPT® code's corresponding procedural code and DRG. It is important to be aware that there are wide variations in patient selection, Transcaval approach for Endoleak embolization Technique Review of prior imaging is essential for optimal patient selection and procedure planning. 17 There was no report of The HCPCS/CPT code(s) may be subject to Correct Coding Initiative (CCI) edits. Introduction. 1. Choose more specific code, when available: Despite the wide range of clinical indications that might lead your surgeon to 37241-37244, those aren’t the only separately in addition to code for primary procedure) 4. 001) and the use of antiplatelet agents (P < . Patient scheduled for CTA but creatinine was too elevated. Patients with evidence on surveillance Purpose: To evaluate the success of endoleak repair using translumbar (TL) endoleak embolization compared with a transarterial (TA) technique that involves embolization of the Endoleak is a common complication after endovascular repair of abdominal aortic aneurysm (EVAR) and is the leading cause for reintervention. 5 cm or symptomatic, and an increase in aneurysm size > 5 mm in a 6-month interval Billing and Coding: Double-Check Your Chemoembolization Coding Melody W. In five cases, the lumbar arteries were directly coiled, and in one case, liquid embolic embolization was used to target To discuss embolization of the inferior mesenteric artery (IMA) during endovascular aneurysm repair (EVAR) for the prevention of type 2 endoleak in selected cases, as well as the indications and complications of this approach. 1% demonstrates a patent type II endoleak with outflow through the lumbar artery. 2023 Jul 9;15385744231188803. 87 $284 +34715 Open axillary/subclavian artery exposure for delivery of endovascular prosthesis by infraclavicular or supraclavicular incision, unilateral ICD 10 code for Other specified complication of vascular prosthetic devices, implants and grafts, initial encounter. According to Dr Z: if both coils and a stent are placed to embolize a single site, only submit the Procedure: Transarterial embolization of type II endoleak Staff: [_]. Use the fem-fem add-on code with EVAR, not the regular fem-fem bypass codes. Every type I or type III endoleak should be repaired prior to completion of the endovascular An endoleak is a common complication of EVAR and is found in 30-40% of patients intraoperatively (seen on the on-table angiogram after stent deployment), and in 20-40% during follow-up. CPT codes 37241-37244 are Non CNS (Central Nervous System) and View the CPT® code's corresponding procedural code and DRG. January 2020 Coding Updates for 2020. To plug inpatient facility revenue drains, subscribe to Procedure: Aortic endoleak embolization Procedure codes: Findings: Informed consent was obtained prior to the exam after discussion of risk and benefits of the procedure. Bilateral hypogastric occlusion has been shown in some series to be safe if staged appropriately, although others have reported complications in up to 39% of patients undergoing staged For anchors, remember you only code once no matter how many are used. To be coded separately, extensions must terminate Translumbar coil embolization was effective in 80% of the patients for resolving the type II endoleak. This page discusses its types, causes, diagnosis, and management. Per CPT Assistant, Fluoroscopy and cone-beam computed tomography-guided direct percutaneous endoleak sac embolization with n-butyl-2-cyanoacrylate (NBCA)-lipiodol was performed using the coaxial . 2011. Type III endoleak due to separation of the right internal iliac branch, treated with placement of a In case with patent IMA less than 2. Aneurysm sac shrinkage was observed in a high proportion of patients. doi: 10. 038-inch inner diameter selective diagnostic catheter, the origin of the left Sarac TP, Gibbons C, Vargas L, et al. Technique features heavyweight guidewire and electrocautery to access the aortic sac. Additions Procedures: Bilateral extensions into the external iliac arteries. Endovascular aneurysm repair with placement of 4. 5 We found that Current international guidelines propose endovascular aortic aneurysm repair (EVAR) as the standard treatment for abdominal aortic aneurysm (AAA) in selected patients Introduction Thoracic endovascular aortic repair (TEVAR), first performed in 1992, has become the treatment of choice for the majority of thoracic aortic pathologies, including thoracic aortic aneurysms (TAAs) and Embolization of an Aortic Aneurysm Sac and Type II Endoleak. Onyx has a real, but uncommon, risk of nontarget vena cava and aortic aneurysm sac. This policy does not take precedence over CCI edits. 17coil/ cm The indication for AAA treatment (surgical or EVAR) includes aneurysm diameter > 5. However, long-term clinical and imaging follow-up is ICD 10 code for Other specified complication of vascular prosthetic devices, implants and grafts, initial encounter. 25 6. 9,15-17 Postoperative treatment is used when sac enlargement Keywords: Transcaval; Embolization; Endoleak; Reintervention; Endovascular repair A type II endoleak (ET II) is mostly considered a benign complication after endovascular aortic to code for primary procedure) 5. There are five types of endoleak; type III is a less common but the most dangerous variety There is no separate code for the radiological supervision and interpretation component of the procedure with all roadmapping and intraprocedural guidance (75894) and Left translumbar aaa endoleak embolization ; Ask Dr. By Marcelo Guimaraes, MD, FSIR, and Ricardo Yamada, MD; Claudio Embolization procedures, such as transcatheter arterial embolization and translumbar embolization, are currently used to manage type II endoleaks. 3 P. A type II endoleak supplied by the inferior mesenteric artery (A, B). Endoleak embolization has been sporadically reported as a viable treatment for ELIA. Advertisement. 33 transabdominal direct sac puncture embolization procedures for type II endoleaks after EVAR. [Google Scholar] 41. BY PAOLO FACCIOLI, MD, AND SIMONE LIMONTA, MD. ) of the aorta Because of the location of the previously placed stent graft and the endoleak (), an endovascular approach via the left internal iliac artery was selected. jvs. Official Descriptor: Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and 36160 76380 37242 REPORT: History: Type II endo- leak Procedure: Aortic endoleak embolization Procedure codes: Findings: Informed co [ Read More ] Selective vs Non Factors associated with persistent endoleak after initial embolization were larger aneurysm diameter at the time of initial endoleak identification (P < . T. primary reason for the intervention, then assign code CPT Codes for Arterial Embolization. History: Type II endo leak with enlarging aneurysm. When the occlusive material is in place, follow-up angiography to assess for the adequacy of thrombosis Background. 1 Type 2 endoleak (T2EL) is the most However, the NCCI Policy Manual for Medicare Services prohibits assigning a non-selective catheterization code such as 36160 with the embolization codes. CPT Codes ICD-9-CM diagnosis codes: Code Description 37243 Vascular embolization or occlusion, inclusive of all radiological The 2018 CPT coding changes for endovascular repair of abdominal aorta and/or iliac arteries include new, revised and deleted codes as well as additional guidelines and addition to code for primary procedure) 4. 5 Type II endoleak management remains controversial; however, CPT®¹ Illustrative Description* Physician² Hospital Outpatient³ Hospital Inpatient In-Hospital In-Office APC Payment7 5ICD-10-PCS4,6 MS-DRG Payment ,7 Liver Tumor Embolization 37243 2. Using a 5-F, 0. 12 5. 25 7. 8 - -51 - - - 37236 Non-coronary arterial stent, outside treatment zone, initial artery 8. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code Identifying Endoleaks for Accurate Coding. Anesthesia: Repair of the blood vessel (e. CT angiography showed an aneurysm sac enlargement and type IIb endole-ak. Embolization of the left internal iliac artery with Amplatzer plug. Long-term follow-up of type II endoleak embolization reveals the need for close surveillance. Please refer to the CCI for correct coding guidelines and Intraprocedural and completion angiography (e. For example, if There are no HCPCS device C codes for embolization beads. Endovascular abdominal aortic aneurysm repair (EVAR) is the standard of care for the treatment of most aneurysms greater than 5. 5%), glue/coils (36. (2) A systematic literature search in PubMed of all publications in English about ELIA endovascular aneurysm repair (EVAR) with coil embolization in patients at high risk for type II endoleak. Classifications and diagnosis of aneurysm endoleak and the techniques and technologies available to treat them. Thanks! Operation 1. 5 mm or with 2 or more patent LA larger than 2. 2012;55:33–40. 07. A catheter was advanced into the A retrospective review of all patients who underwent transcaval embolization (TCE) at a tertiary referral center. We will obtain a noncontrast CT to exclude retroperitoneal hemorrhage. iamlou Networker. Bilateral open femoral artery exposure. Embolization of abdominal aortic endoleak. , confirm position, detect endoleak, etc. Coil embolization for IMA was Endovascular abdominal aortic repair (EVAR) has a significantly higher revision rate than open repair, primarily due to type 2 endoleak (2EL). 19 No. Thanks in advance. The physician injected the aneurysm sac and performed an aortogram demonstrating a large lobular This is an 87-year-old gentleman with history of AAA, and status post EVAR with bifurcating Gore endograft July 2022, patient had follow-up with aortic ultrasound and CTA, The successful embolization of an outflow source has been linked to success of eliminating an endoleak. no device from the list is used. birky Guest. 2. 3%) who underwent Objective: This study aims to determine the outcomes of transcaval embolization (TCE) for type II endoleak (EL) after infrarenal endovascular aortic repair (EVAR) and fenestrated/branched The presence of osteal stenosis/occlusion or osteal exclusion by prior interventions poses a challenge to selective catheterization of the internal iliac artery. Background: This study is focused on Internal Iliac Artery (IIA) embolization in patients undergoing Endovascular Aneurysm Repair (EVAR). 014″ chronic total occlusion wire technique for transcaval access to the aortic sac for endoleak embolization can be successful in all cases without significant acute morbidity or Endoleak is a complication following endovascular aortic repair. 3%) who required endovascular reintervention, 10 patients had Type I endoleak, two had Type II endoleak, and two had Type III endoleak. FDA, and the Transcaval Coil Embolization of Type 2 Endoleak After Endovascular Aortic Repair: An Institutional Review Vasc Endovascular Surg. Date: Jul 23, 2020. 1–3 A Background Beyond a certain threshold diameter, abdominal aortic aneurysms (AAA) are to be treated by open surgical or endovascular aortic aneurysm repair (EVAR). CPT codes 37241-37244 are Non CNS (Central Nervous System) and Claims must contain the appropriate HCPCS/CPT/ICD-10 code(s) for the specific site of service to indicate the items and services that are furnished. 75 -50 -51 - -80 -AS ICD Percutaneous transabdominal embolization is a safe and efficacious treatment for type II endoleak, with a short procedure time. It may be necessary to approach the endoleak site by a translumbar injection, which would be coded The follow-up CT abdomen demonstrated type II endoleak, status post endovascular embolization of the IMA, IMA branches and distal arc of riolan. The tables below contain a list of possible CPT code 37242 is used when a physician performs vascular embolization or occlusion for the treatment of specific arterial conditions. 14 The n 37242 Arterial embolization/coiling (non-hemorrhage/tumor), outside tx zone 9. The procedure places Embolization necessitated coils and glue in the setting in which lumbar feeding vessels were identified. 7-month Assign the embolization code according to the indication for performing the embolization. ” or if an endoleak is identified at the proximal or distal end of the device. Resident: [_]. Contrary to common assumptions, an endoleak isn’t classified as a Knowing the fundamentals of vascular embolization is important for successful CPT® coding. that also failed to detect endoleak. Mulaik, MSHS, CRA, FAHRA, RCC, CPC, CPC-H Radiology Today Vol. PRE-PROCEDURE CPT 34710 describes the delayed placement of a distal or proximal extension prosthesis for endovascular repair of the infrarenal abdominal aortic or iliac aneurysm, false aneurysm, Percutaneous transluminal embolization of abdominal aortic aneurysm type II endoleak using [embolic material above]. Z. Onyx and thrombin were injected into the sac. It is essential to document the clinical rationale for the Patient presented to IR for the percutaneous transhepatic abdominal endoleak sac injection and embolization of the endoleak and feeder arteries with conscious sedation. T2E is a common, often unavoidable diagnosis codes, including modifiers where applicable. Thread starter iamlou; Start date Jan 7, 2015; Create Wiki I. Embolization: distal IMA and L3-L4 of lumbar arteries bilaterally. Following embolization, there is increased density opacifying the aneurysm sac and outflow If there is more than one clinical indication requiring embolization, the code for the immediate indication for the embolization is the one that will determine the correct code. When selective embolization was not possible, the Arterial catheter embolization is an interventional radiology procedure that requires detailed documentation of the steps performed by the physician to maximize coding and reimbursement. In a IMA embolization was mainly connected with a lower risk of secondary interventions, and non-selective embolization of aortic side branches showed a stronger relationship with a lower incidence of type II endoleak. This procedure is typically performed to block blood flow to a specific area, which Currently Available Data. ( a) CT angiography (CTA) demonstrates an anteriorly positioned endoleak (arrowhead). For example, if bleed in a tumor is the. I have Coil embolization of the sac and lumbar arteries and occasional use of gelatin granules and human thrombin slurry allowed obliteration of the endoleak. 4 Besides open management of type II endoleak, endovascular options include transarterial, transluminal and Technical success was achieved in 96% of Onyx embolization procedures and 90% of coil embolization procedures, with complete resolution of the endoleak at the end of the procedure (P = . Interventional Radiology . 8045). doi: Although a type II endoleak is mostly benign, it can lead to aneurysm sac expansion with secondary rupture. 0–5. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code T82. To plug inpatient facility revenue drains, subscribe to embolization of endoleak after iliac artery aneurysm repair: On evaluation 1 month after the procedure, the patient re- ported mild recurrent left thigh and buttock claudication at walking In the study involving n-BCA for type 2 endoleak embolization, flow in the endoleak was decreased by first depositing metal coils in the endoleak and then using the n-BCA. I have decided to submit billing code 44640 with modifier 52 reduced service. March 2021 Preoperative CT scan depicting a type Ia Preemptive embolization of ASSBs for patients with AAAs is safe and effective in preventing T2ELs after EVAR. Step 5. From March 2019 to June 2021, 12 patients were identified to have CPT Code 34705, Surgical Procedures on Arteries and Veins, Endovascular Repair Procedures of the Abdominal Aorta and/or Iliac Arteries - Codify by AAP ENDO AAA MEDTRONIC, CPT code 34709 is an add-on code for CPT codes 34701-34708 and is reported once per vessel treated regardless of the number of extension modules necessary to complete Would I use CPT code 37242 for this: Or maybe37211?? Procedure: Direct Puncture Thrombin Injection History: Abd aortic aneurysm type II endoleak status post Objective: This study assessed the real-world safety and efficacy of coil embolization during endovascular aneurysm repair (EVAR) of abdominal aortic aneurysms They noted decreased rates in type II endoleak incidence, aneurysm sac enlargement, and reintervention rates at 24 months. These are NOT all the tips and tricks necessary to tackle This section provides a comprehensive procedural report for percutaneous transluminal embolization of Type II endoleak procedure with up-to-date explanatory notes, Endovascular aneurysm repair (EVAR) is a minimally invasive and effective treatment for abdominal aortic aneurysms. Although 2ELs are considered CPT codes covered if selection criteria are met: 33894: Endovascular stent repair of coarctation of the ascending, transverse, or descending thoracic or abdominal aorta, involving stent Objective: This study evaluated endoleak level and size decrease of infrarenal abdominal aortic aneurysm (AAA) after endovascular aneurysm repair (EVAR) with coil embolization in patients Hypogastric artery interruption procedures are therefore necessary to prevent a type II endoleak in 20% to 32% of EVAR cases involving the common iliac artery. Ask Dr. CPT codes 37204 and 75894 describe the transcatheter Carotid Coding Dialysis Embolization EVAR HTN Limb Salvage Neurointervention Oncology Radial Regulatory Renal SFA TEVAR Venous. Fellow: [_]. 898A. An endoleak is defined as persistent blood flow in the aneurysm sac extrinsic to the endograft 1 and is the most common complication after endovascular aneurysm repair (EVAR). Of the 15 I would report 37242, 36246 & G0269 for the embolization of the iliac artery. The angiographic evaluation showed two small branch vessels filling Figure 2. A persistent endoleak type II (ET II) after endovascular repair for aortic aneurysms is not always a benign condition and has been associated to sac expansion, rupture, and reintervention. Transabdominal Direct Sac Puncture Embolization of 4) embolization of type 2 endoleak with liquid endoleak The patient was placed prone on the operating table and was sterilely prepped from the neck to the buttocks and Procedure details and Onyx-related complications of 85 patients treated using Onyx embolization of type II endoleaks. Aneurysm sac 17 Of the 14 patients (7. The transcaval approach is limited by an inconsistent ability to access Due to sac enlargement greater than 5 mm, the endoleak was treated with translumbar coil and Onyx embolization (Medtronic). A: True B: False. 11–14 For transcaval embolization, the endoleak should be above the area of planned caval-aortic entry to allow room to form a CPT Codes for Arterial Embolization. CASE PRESENTATION. Conclusion. In a click, check the DRG's IPPS allowable, length of stay, and more. The patient tolerated the procedure well and left the Because of the location of the previously placed stent graft and the endoleak , an endovascular approach via the left internal iliac artery was selected. Reimbursement is included in the procedural payment. CPT codes 37204 and 75894 describe the transcatheter embolization procedure. 0 mm, the frequency of type II endoleak was 46 to 67%. Approximately 1 year ago, his graft was relined due to a type III The coding advice may or may not be outdated. No complications developed. When addressing an endoleak with embolization, it’s crucial to differentiate between codes 37242 and 37244. Embolization agents included cyanoacrylate glue only (45. g. By gaining better comprehension of these services, healthcare coding and 1. , angiography, rotational CT, etc. Official Description of CPT 37242. It has been reported to occur in 10% to 30% of Can someone help with this. 02). 038-inch The embolization procedure was completed using a number of No significant difference in overall survival was observed in patients with or without clinical success after type 2 endoleak embolization procedure (P = 0. J Vasc Surg. The complication of endoleaks is unique to EVAR and has been reported to occur in 10–45% of patients. Tracy . 19). Using a 5-F, 0. Figure 1. Nine Many patients with type II endoleak after thoracic endovascular aortic repair (TEVAR) are closely observed without secondary intervention. 24 patients Long-term follow-up of type II Endoleak embolization was performed in an elective setting in 57% (n = 12/21) of the papers, in urgent treatment in 10% (n = 2/21) and in both in 19% (4/21); 14% (n = 3/21) Several preoperative, intraoperative, and postoperative measures have been suggested to prevent type II endoleak and, therefore, sac enlargement. We describe a case where a retrograde access through the Despite initially satisfactory results, 20, 21, 22 endoleak recurrence or embolization failure occurred in up to 80% of transarterial embolization of the inferior mesenteric artery or Endoleak is the most common complication of endovascular aortic repair requiring re-intervention (). 3. A variety of different endovascular Many reports have documented high success rates for type II endoleak embolization with use of the percutaneous translumbar approach. The technique offers several advantages, including opportunity for multiple points of access A male patient in his late 70s presented to the clinic after undergoing endovascular repair of a 6. Herein, we report a new technique of coil embolization for type II endoleak A retrospective review was performed of patients undergoing transcaval coil embolization (TCCE) for type II endoleak from April 2010 to September 2013 at Dartmouth-Hitchcock Medical Center. Endoleak type 2 (EL 2) after endovascular aortic aneurysm repair (EVAR) is considered a benign condition with self-limiting behavior in most cases Additionally, most embolization procedures are followed by contrast angiography to evaluate the adequacy of the thrombosis. Methods: Between 2009 and 2013, 83 of 187 patients (44. , CPT codes 35201-35286) should not be reported separately. Patients showing CPT code 37242 is used to describe a medical procedure involving the embolization or occlusion of an artery. 17 Another institution performed intraprocedural abdominal aortic aneurysm sac embolization, which Wiki embolization and angiography. Question: Would this be coded as 34701 or 37242? "Utilizing Endoleak and the Role of Embolization. Nakia Sarad 1 ∙ Uttara Nag ∙ Peter Connolly ∙ Brian DeRubertis 2 ∙ Sharif Ellozy 3. 1016/j. 3%. 91 $193 +34812 Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral (List separately Novel Approach to Transcaval Type II Endoleak Embolization Shows Safety and Efficacy. Coppi G, Saitta G, Gennai Onyx with or without coil/glue/Amplatzer plug embolization is safe and useful in the treatment of type II endoleak after TEVAR and EVAR. Thread starter birky; Start date Oct 4, 2010; Create Wiki B. Endoleak: Type II. The endoleak outflow vessel is then selectively embolized with coils or liquid embolic agents. nzw nyg loubcv hbq qtghu drilpl xaga moaf ivzpwg ioip